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Given the chronic nature of thyroid disease and the persistence of neurological symptoms despite biochemical control, these strategies should be viewed as adjunctive rather than alternative interventions (236238)

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Medical guidance is recommended

Thank you all for your kind words I finally got to speak with a locum GP today, the GP that ordered the blood tests, didn't order a B12 serum after saying he would, so I'll not know if the vials were deteriorating